Magazi mu mkodzo ndi chizindikiro choopsa
Shuga mumkodzo ndi chizindikiro chotsimikizika cha kuvulala kwamkati mwa ziwalo zamkati. Mwa munthu wathanzi, amadutsa pama glomeruli (mafayilo achilendo) ndipo amalowetsedwa m'magazi m'mitsempha ya impso. Ndi kagwiritsidwe ntchito koyenera ka thupi, shuga siziwoneka pakuwunikiridwa kwamankhwala angapo kapena ponseponse. Pankhani ya matenda am'mimba, kuwonjezeka kwa zizindikiro zake kumawonedwa, glucosuria imayamba. Chifukwa chiyani glucose amakwera, amatanthauza chiyani ndikuwithetsa?
Mulingo wa shuga mumkodzo ndi 0,06-0.08 mmol pa lita. Mwa amayi ndi abambo, Zizindikiro zimatha kusiyanasiyana kutengera zaka, mtundu wa zakudya, kupezeka kwa matenda oyenerana ndi moyo. Kukula kamodzi kwa shuga, simuyenera kumveketsa: ndikokwanira kuyambiranso kapena kuunikiridwa kwathunthu.
Zoyambitsa zosiyanasiyana zimatha kuyambitsa shuga mumkodzo. Chovuta chachikulu ndi matenda a shuga a shuga. Glucose amalowetsedwa m'magazi mu impso tubules pamaso pa puloteni yapadera - hexokinase. Mtundu woyamba wa matenda ashuga, mankhwalawa amangopangidwa kokha ndi insulin, kotero cholowa cha matenda ashuga chimakhala chochepa kuposa zofanana.
Kuchuluka kwa shuga kungayambike chifukwa cha kuwonongeka kwa impso ndi kulephera kwaimpso. Nthawi yomweyo, kuchuluka kwa glucose m'magazi aimpso kumachepa, ndipo umalowa mkodzo.
Zomwe zimayambitsa glucosuria, monga lamulo, ndi kapamba, kuledzera kwamthupi (poyizoni ndi chloroform, morphine, strychnine kapena phosphorous), matenda opatsirana kwambiri ndi chiwindi. Kuwonongeka kwa chapakati mantha dongosolo (mwachitsanzo, khunyu), kuvulala kwamitsempha yamaukwati, meningitis, encephalitis, hemorrhagic stroke komanso kupezeka kwa chotupa muubongo kungapangitse matenda.
Hyperthyroidism, kuchuluka kwa adrenaline, somatropin, thyroxine ndi glucocorticosteroids kungayambitse glucosuria ya endocrine. Nthawi zina, kuchuluka kwa shuga mkodzo kumachitika chifukwa cha malungo.
Pali mitundu ingapo ya matenda. Magazi a glucosuria amakula motsutsana ndi maziko a kupsinjika kapena zovuta zam'mbuyomu. Mkodzo wa alimentary umachitika chifukwa cha kuperewera kwa zakudya m'thupi, kugwiritsa ntchito shuga ambiri, zakudya zamatumbo ambiri komanso maswiti. Glucosuria wowonjezera amawonetsedwa ndi kuchuluka kwa glucose mu mkodzo komanso magazi.
Nthawi zambiri shuga amapezeka mumkodzo wa amayi oyembekezera. Izi zimachitika chifukwa cha kuperewera kwa chakudya, kupsinjika, kapena kusintha kwa thupi komwe kumachitika mthupi. Glucosuria iwonetsanso kukula kwa matenda ashuga.
Zizindikiro zotsatirazi zimatha kukhala chifukwa chosangalalira: kuchuluka kwam ludzu, kukodza pafupipafupi komanso kuchepa thupi mwadzidzidzi. Wodwalayo amasokonezeka chifukwa cha kuwodzera komanso kufooka, khungu lowuma kwambiri komanso kuyabwa m'thupi. Ngati, pamaso pa zizindikiro zapamwambazi, shuga wapamwamba mumkodzo wapezeka, muyenera kufunsa dokotala.
Odwala omwe ali ndi matenda a shuga, kuwonjezera pa glucose, ma acetone okwera mumkodzo amapezeka nthawi zambiri. Mutha kudziwa mulingo wa izi pomaliza, pogwiritsa ntchito zingwe zapadera. Ndi kuwonjezeka kwa zizindikiro ziwiri, wodwalayo amafuna jakisoni wa insulin komanso kugwiritsa ntchito mankhwala ena antidiabetes.
Shuga mu mkodzo mwa ana
Shuga mumkodzo wa mwana ndi chizindikiro choopsa komanso choopsa. Vutoli limakhala loopsa kuposa kukula kwa glucose m'magazi.
Glucosuria mu mwana akuwonetsa kuvutika kwa dongosolo la endocrine, impso, chiwindi kapena kapamba. Ngati matenda atapezeka, muyenera kulumikizana ndi endocrinologist.
Nthawi zina muubwana, kuyesedwa kwa shuga kumatha kupereka zotsatira zolakwika. Izi ndichifukwa chokonzekera molakwika phunziroli kapena kusatsatira malamulo osunga zinthu zakutchire. Kugwiritsa ntchito maswiti ambiri kapena ascorbic acid tsiku lotsatira kumatha kukhudza zotsatira za kusanthula. Kugwiritsa ntchito mankhwala a antibacterial kungasokeretsenso deta.
Asanapange matenda, dokotala sayenera kupatula zolakwika ndi zotsatira zabodza, komanso kuchitanso kafukufuku wachiwiri.
Mitundu ya kusanthula ndi kutolera zinthu
Kuphunzira shuga mumkodzo, kuyesa konse kumachitika.
- Kusanthula kwapadera komwe kumagwiritsa ntchito mkodzo wam'mawa.
- Kuyang'ana mkodzo womwe wasonkhanitsidwa masana. Pa mayeso, ndi mamililita 150 okha amadzimadzi onse omwe amatengedwa.
- Kusanthula kwamikodzo panthawi inayake: kuyambira 8:00 mpaka 14:00, kuyambira 14:00 mpaka 20:00, kuyambira 20:00 mpaka 4:00, kuyambira 4:00 mpaka 8:00.
Kutenga zinthu zakuthupi, zotengera zosafunikira ziyenera kugwiritsidwa ntchito. Kuchuluka kwa madzimadzi opangira kafukufuku sikuyenera kukhala kosakwana 150 ml.
Musanatulutse mkodzo, sambani kutsuka perineum (gawo lakunja la maliseche - amuna) ndi madzi ofunda ndi sopo. Izi zimathandiza kupewa kulowa mu zinthu zachilengedwe zamagetsi zomwe zimathandizira kuwonongeka kwa shuga.
Pambuyo pokodza mkodzo, tsekani chidebecho mwamphamvu ndikupita naye ku labotale. Kumbukirani: Zomwe zalembedwazi ndizoyenera kufufuza mkati mwa maola 6 kuchokera nthawi yomwe yatenga.
Kuti matenda asefukire mu mkodzo, ndikofunikira kudziwa chomwe chimayambitsa matenda. Ngati glucosuria idayambika motsutsana ndi maziko a matenda osokoneza bongo, ndikofunikira kusintha zakudya, kuchepetsa kapena kupatula maswiti, mowa, zakudya zopatsa mphamvu ndi zakudya zokhala ndi chindapusa chachikulu cha zakudya. Ndikofunikira kuteteza kulemera kwa thupi, chifukwa kunenepa kwambiri kumakulitsa chizolowezi cha shuga ndipo kumatha kubweretsa zovuta zazikulu.
Mankhwala achikhalidwe azithandizira kuchepetsa shuga.
- Kapu ya oat mbewu kutsanulira 750 ml ya madzi otentha. Wiritsani kusakaniza kwa ola limodzi. Sula msuzi wozizira ndipo imwani kapu imodzi musanadye.
- Pogaya masamba obiriwira atsopano kapena owuma. Thirani supuni ya zopangira ndi theka la lita imodzi ya madzi otentha ndi kuwira kwa mphindi 5. Kuchepetsa shuga, tengani chikho cha minutes mphindi 25 musanadye.
- Onjezani supuni ya ½ ya sinamoni ku tiyi ndi kuphika zakudya. Zakumwa zochiritsa zochokera ku sinamoni ndi kefir zingakhale zothandiza. Amachepetsa kuchuluka kwa shuga m'magazi ndi mkodzo.
- Pogaya ndikuphatikiza masamba a nettle, blueberries ndi mizu ya dandelion. Supuni ya osakaniza kutsanulira 250 ml ya madzi otentha ndikuyika pambali. Imwani kulowetsedwa kamodzi masiku 8 musanadye zakudya zazikulu.
Shuga mumkodzo ndi chizindikiro choopsa chomwe chingasonyeze kukula kwa matenda a shuga, matenda a impso ndi zina. Ngati zotsatira zoyeserera sizili bwino, muyenera kufunsa dokotala, kukayezetsa ndikubwereza mkodzo ndikuyezetsa magazi kwa milingo ya shuga.
Zoyambitsa ndi zizindikiro
Mwa munthu wathanzi, glucose kuchokera ku chakudya amalowetsedwa m'magazi pafupifupi kwathunthu. Zomwe sizikumizidwa m'maselo zimalowa mu impso, pomwe zimasefedwa pogwiritsa ntchito mawonekedwe a glomerular. Mtundu wa shuga mumkodzo ndi 0.06-0.0083 mmol / l.
Mtengo wake ndiwocheperako kotero kuti ndende sizimatsimikiziridwa ndi kusanthula kwawanthu komanso zamomwe amawonedwe (zimazindikira kuti palibe shuga). Izi zikadzatha, mayeso amayamba "kuwona" glucose, ndipo phindu lake limatha kukhazikika.
Glucose wa urinary amadzuka pazifukwa zingapo:
- physiology glucosuria,
- matenda ashuga
- aimpso glucosuria,
- matenda a impso
- matenda ena.
Muzochitika zambiri, ndikokwanira kungoyang'ana ndi kufunsa wodwalayo. Chifukwa chake, pofika nthawi yomwe kukodza kumawonekera magazi, ndikotheka kale kukayikira chomwe chayambitsa kuphwanya.
Ngati magazi apezeka mu gawo loyamba la mkodzo, ndiye kuti mumagwira mkodzo.
Ngati magazi amawonekera m'migawo yomaliza ya mkodzo ndipo amaphatikizidwa ndi zowawa, izi zikuwonetsa miyala mu chikhodzodzo, cystitis. Ndi urolithiasis, magazi amamasulidwa ngati makoma a chikhodzodzo amakanikizidwa mozungulira mwala pakatulutsa mkodzo.
Kuti mudziwe chifukwa chake shuga mumkodzo adakwera, ndikofunikira kumvetsetsa kuti cholowa cha impso ndi chiyani. Glucosuria imadziwika ikatuluka. Nthawi zambiri, mwa achikulire athanzi, cholowa chaimpso sichidutsa 10 mmol / L, mwa mwana - 12,65 mmol / L, ndipo mwa okalamba Zizindikiro zake zimatsitsidwa.
Mu matenda a impso, yodziwika ndi kuwonongeka kwa ma tubules awo, omwe amabwezera shuga m'magazi kuchokera mkodzo woyamba, cholowa chaimpso chimachepa. Izi ndizomwe zimayambitsa shuga mumkodzo.
Mu matenda a shuga (aimpso), kuchuluka kwa shuga m'magazi kumatha kukhalanso kwabwinobwino kapena kuchepetsedwa, koma pamakhala mkodzo wambiri. Mankhwala, matendawa amatchedwa glucosuria. Zimatha kuchitika pamene shuga mumkodzo ndiwambiri kwambiri ndipo ngati magazi a magazi sanadutsidwepo ngakhale motsutsana ndi kukula kwa hypoglycemia.
Type Iabetes mellitus ndiye akutsogolera kuwonjezeka kwa shuga mu mkodzo. Zizindikiro zakukula kwamatendawa ndimatenda amkodzo mumkodzo ndikuwonjezera shuga m'magazi.
Glucose amalowa mumtsinje wamagazi kudzera m'matumbo a impso kudzera mu phosphating mphamvu ya enzyme hexokinase pamenepo. Mtundu woyamba wa matenda ashuga, mankhwalawa amathandizidwa ndi insulin ndipo wodwalayo amakhala ndi gawo lowonongeka. Odwala, njira za sclerotic mu impso zimakulitsidwa ndipo shuga mkodzo sapezeka, ndipo kuyezetsa magazi kumawonetsa kukhalapo kwa hyperglycemia.
Nthawi zambiri shuga amapita kudzera mu fyuluta ya impso, yomwe imatchedwa glomeruli. Koma, ngakhale izi, mwa anthu amoyo wathanzi zimatengeredwa kwathunthu m'magazi mu refund tubules.
Chifukwa chake, titha kunena kuti glucose mwa anthu athanzi sangakhale mkodzo. Molondola, ilinso ndi shuga yochepa, yomwe mayeso amachitidwe wamba, monga biochemical kapena kawirikawiri mkodzo sangadziwe.
Zotsatira zake ndikuwonekera kwa shuga mumkodzo, womwe mumankhwala mumakhala dzina loti glucosuria. Chuma chokhazikitsidwa cha kupezeka kwa shuga m'magazi chimachepa ndi msinkhu, ndipo chizindikirochi chimatha kucheperanso chifukwa cha matenda osiyanasiyana a impso.
Ndiye chifukwa chake kupezeka kwa shuga mumkodzo kumatha chifukwa cha kuchuluka kwa shuga m'magazi kapena kuchepa kwa njira ya impso. Malinga ndi zamankhwala, mitundu ingapo ya glucosuria imasiyanitsidwa. Fomu yoyamba imatchedwa anamentary glucosuria.
Zodabwitsazi zimayamba chifukwa chakuchepa kwakanthawi kwa shuga m'magazi chifukwa chodya zakudya zomwe zimakhala ndi mafuta ambiri. Fomu yachiwiri imatchedwa kuti glucosuria. Potere, shuga amawonekera mumkodzo wa zovuta zomwe zimakumana ndi pambuyo pake. Komanso, shuga mumkodzo umatha kuonekera pakati.
Kuphatikiza apo, mawonekedwe a pathological, omwe akuphatikiza ndi glucosuria owonjezera, amatha kupezeka. Ndi vuto ili, shuga mumkodzo amawonekera ndi kuchuluka kwa shuga m'magazi. Pali zifukwa zambiri zomwe shuga amawonekera mu urinalysis. Chimodzi mwazifukwa izi ndi matenda a shuga.
Mwanjira imeneyi, kuwoneka kwa shuga mkodzo wa wodwala wodwala matenda ashuga kumachitika ndi shuga yochepa m'magazi. Nthawi zambiri zimachitika ndi matenda a shuga a insulin. Zonsezi zili m'lingaliro loti kuphatikizidwa kwa shuga m'magazi aimpso kungatheke pokhapokha ndikumuyambitsa ndi enzyme yotchedwa hexokinase.
Komabe, mu shuga, enzyme iyi imayendetsedwa ndi insulin. Ichi ndichifukwa chake cholowa cha impso kwa odwala omwe ali ndi matenda amtundu wa 1 ndi chotsika kuposa masiku onse. Kuphatikiza apo, pakukula kwa njira za sclerotic mu minofu ya impso, kuchuluka kwa glucose kumakhala kwakukulu m'magazi, ndipo sikupezeka mkodzo.
Fungo la glucosuria limayamba chifukwa cha matenda omwe amayenda ndi malungo. Ndi kuwonjezeka kwa adrenaline, mahomoni a glucocorticoid, mahomoni a thyroxine kapena kukula, endocrine glucosuria imawoneka. Kuphatikiza apo, palinso poizoni wa glucosuria, womwe umapezeka poyizoni ndi morphine, strychnine, chloroform ndi phosphorous. Glucosuria amakula chifukwa chotsika zitsulo za impso.
Cholinga cha kupezeka kwa magazi mkodzo mu oimira amuna ogonana mwamphamvu kwambiri kungakhale matenda a prostate gland, omwe nthawi zambiri samakhala oopsa.
pali magazi ochepa mkodzo. Koma nthawi zambiri izi zimachitika ndi kuphatikiza kwa adenoma ndi cystitis mu mawonekedwe owopsa.
Glucosuria monga chizindikiro cha pathologies
Mu shuga mellitus, zizindikiro za pathology sizovuta kudziwa: ludzu losalekeza, kununkhira kwa acetone kuchokera mkamwa, kuchokera mkodzo ndi zina. Zizindikiro zowonjezereka ndi khungu louma, chikumbumtima chovundikira, kuchuluka kwa pafupipafupi komanso kukayika kwamkati, kuwonda.
Matenda a shuga a Type 1 ndi chifukwa chosakwanira kupanga insulini. Madziwo amasamutsa mamolekyu a shuga kupita ku ziwalo momwe amafunikira, ndipo, monga chinsinsi, "chimatsegulira" maselo kuti amwe shuga.
kukodza kwapafupipafupi, kusapeza bwino m'mimba, kupweteka pokodza, kupweteka m'mitsempha, mkodzo umanunkhira bwino.
Laborator (ofotokoza pamaziko a kutsimikiza kwa magazi ndi mkodzo mayeso)
Zizindikiro zamatenda
Zachipatala (wapezeka wodziyimira pawokha kapena wodwala)
- Kutupa. Ichi ndi chimodzi mwazizindikiro zoyambira zamadzi kagayidwe. Malingaliro oti edema imagawidwa mu mtima ndi aimpso siyolakwika. Pakakhala vuto laimpso, kutupira m'maso ndi manja manja, ndipo pofika madzulo miyendo imatupa. Renal edema sinali yakomweko, ngati, mwachitsanzo, nthambi imodzi yokha ndiyotupa mwa munthu, impso sizigwira ntchito.
- Kuthamanga kwa magazi. Nthawi zambiri, zimayambitsidwa ndi mavuto mu impso, kotero ngati vuto la matenda oopsa liwunika poyambirira, zaka za wodwala sizofunika pankhaniyi.
- Ululu wammbuyo. Zitha kuyamba ngati pali mapangidwe amiyala ya impso, zotupa, ndikupanga matenda.
- Mtundu wachilendo wa mkodzo. Osamvetsera kwa iwo omwe akunena kuti mkodzo wowala ndi woipa. Ichi ndiye chizolowezi. Za mtundu wofiira kapena wa bulauni wa mkodzo, ichi ndi chizindikiro choopsa, chofunikira kuti akatswiri azimufufuze mwachangu.
- Khungu loyera. Pakakhala zotupa, ikhoza kukhala chizindikiro cha kulephera kwa impso.
- Kulemera kowoneka bwino, pakamwa pouma, kukoka pafupipafupi, ludzu, kufooka ndi thukuta kumatha kukhala zizindikiritso za matenda am'mbuyomu.
- Zizindikiro za matenda amatupa pafupipafupi, kusapeza bwino m'mimba, kupweteka pokodza, kupweteka m'mitsempha, mkodzo amamva fungo losasangalatsa.
- Laborator (ofotokoza pamaziko a kutsimikiza kwa magazi ndi mkodzo mayeso)
- Mapuloteni mumkodzo. Chizindikiro chachikulu cha matenda a impso chifukwa cha matenda ashuga.
- Maselo ofiira a mkodzo. Mwanjira ina, magazi mkodzo. Chitha kukhala chizindikiritso cha kusokonekera kwa dongosolo la impso. Nthawi zina, zitha kuwonetsa kuwonongeka kwamakina ndi miyala.
- Chiyero chachikulu cha khungu loyera. Zizindikiro zamatenda amkodzo thirakiti.
- Mitundu yayitali ya urea, potaziyamu ndi creatinine m'magazi. Zizindikiro za kulephera kwa impso.
- Hemoglobin wotsika. Chitha kukhala chizindikiro cha kulephera kwa impso.
Kuzindikira matenda a impso
- Ultrasound Njira yotsika mtengo komanso yotsika mtengo kwambiri. Imatha kudziwa miyala, zotupa, ndi zina.
- Mbiri. X-ray ya impso. Chifukwa cha mawonekedwe awo, impso ndizovuta kuwona pamasiku apadera a x-ray. Kuti athetse vutoli, chinthu chimalowetsedwa m'mitsempha ya wodwalayo chomwe chitha kupangitsa impso kuti ziwoneke ndi x-ray. Njira imagwiritsidwa ntchito poyesa momwe impso zimayendera, kwamikodzo thirakiti, mgwirizano pakati pa impso ndi machitidwe ena a thupi. Ngati aimpso kulephera, ndi motsimikizika.
- Yogwiritsa ntchito tomogram. Njira yabwino kwambiri yofufuzira.
- Punct biopsy. Amagwiritsidwa ntchito pophunzira minofu ya impso. Pakusintha, pochita opaleshoni, wodwalayo amapatsidwa jakisoni mu impso ndi chida chapadera, chomwe chimatenga chidutswa chaching'ono cha minofu ya impso.Pambuyo pa kuyesedwa ndikuyang'aniridwa ndi ma microscope.
Kuyesa kwa magazi a matenda ashuga a 2
Mkodzo wa matenda a shuga umagwiritsidwa ntchito poyang'ana matenda a impso. Kafukufukuyu amachitika kamodzi pachaka. Pozindikira matenda a labotale, tsiku lililonse ndi gawo limodzi la mkodzo limagwiritsidwa ntchito. Kusefukira kwamadzi kwachilengedwe ndi kapangidwe kake kazinthu zonse zimasanthulidwa.
Kuyesa kwa mkodzo kwa shuga kungakhale kwamitundu ingapo:
- gawo lam'mawa
- diuresis tsiku lililonse
- kafukufuku wa Nechiporenko,
- mayeso malinga ndi Zimnitsky.
Kuti mupeze mkodzo wam'mawa, ndikofunikira kutola gawo laling'ono mu chidebe chosawerengeka chimbudzi chokwanira cha genitalia yakunja. Kuwunikaku sikuchitika pasanathe maola 1.5 mutatha kutolera. Kuunika kumakuthandizani kuti muwunikire ntchito ya impso, mtima, kugaya chakudya ndi chitetezo chathupi.
Ngati mukukayikira matenda a shuga, kutsimikiza kwa glucose komwe kumagwira tsiku ndi tsiku kwamkodzo kumayikidwa. Kuzindikira shuga kumawonetsa kulephera kwakanthawi kwamatendawa, komanso kupezeka kwa matenda ena a impso. Maonekedwe a shuga mu phunziroli amafunika chithandizo chamanthawi yomweyo.
Urinalysis malinga ndi Nechiporenko imakuthandizani kudziwa ma microscope kuchuluka kwa leukocytes, maselo ofiira a magazi ndi ma cylinders mu 1 ml ya sediment. Phunziroli limawerengera momwe impso zimagwirira ntchito. Nthawi zambiri, zinthu zomwe zimapangidwa siziyenera kupitirira gawo losefera. Ndi kuwonongeka kwa impso, kuwonjezeka kwa zizindikiro kumapezeka. Njirayi ndi chisonyezero choyenera cha chithandizo chamankhwala.
Kafukufuku wa Zimnitsky amakhala chisonyezo cha ntchito zazikuluzikulu za impso:
- kugawa mkodzo tsiku lililonse
- kusamalira
- malimbwe.
Ngati pali zakuphwanya gawo loosefa, ndiye kuti zimakhudza kuwunikira. Phunziro limayendetsedwa pakupanga kukanika kwa aimpso mu odwala matenda ashuga.
Matenda a shuga amakhalanso masiku ano mwa amuna ndi akazi, samadutsa ana kapena okalamba. Amadziwika ndi kukanika kwa endocrine system, chifukwa chomwe thupi limakumana ndi insulini yotsimikizika kapena yoyenera. Kulephera kwa kagayidwe kazakudya zam'madzi ndi kuchuluka kwa shuga m'magazi ndi mkodzo kumawonedwanso. Chifukwa chake, kuwunikira ndi njira yofunika.
Kuyesa kwa mkodzo kwa matenda ashuga ndiko kuzindikira kofala kwambiri komwe kumawonetsa molondola kusintha komwe kumachitika mthupi. Mu matenda ashuga, kuyesa kwamkodzo kwamkodzo, kuyesa kwa Nikhiporenko, kuyesa tsiku lililonse, ndi kuyesa magalasi atatu kumachitika.
Zomwe zimaphunziridwa pakupezeka mkodzo
Phunziro limodzi lodziwika bwino ndikupenda mkodzo ndi kuchuluka kwa mapuloteni. Pokhapokha pakuwonetsa zidziwitso zowopsa, khalani miyezi isanu ndi umodzi iliyonse. Mwakuwunikira, amayang'ana mtundu wa mkodzo, kuwonekera kwake, ngati kutsamba kumawonekera.
Kusanthula kumayenera kuchitika pafupipafupi, chifukwa ndi thandizo lawo mutha kuyankha mafunso otsatirawa:
- Kodi kuwonongeka kwa kapamba kumakhala ndi ma cell omwe amapanga insulini?
- Kodi njira zochiritsira zimabweretsa phindu lotani ndipo zimasintha magwiridwe antchito? Kodi kuchuluka kwa maselo a beta kumachulukanso ndipo kodi kapangidwe ka insulin yake mthupi limakulanso?
- Ndi iti mwazovuta zovuta za matenda ashuga yomwe yayamba kale?
- Nkhani yofunikira ndi momwe impso zimayendera.
- Kodi chiwopsezo cha matenda atsopano ndi chiani? Kodi pali kuchepetsedwa kwa ngozi chifukwa cha chithandizo chamankhwala? Funso loti chiwopsezo cha matenda a mtima kapena stroko ndilofunika kwambiri.
Chiwopsezo chachikulu cha kupezeka kwa matenda a shuga chimatha kupewedwa, komanso kukula kwina. Zotsatira zabwino kwambiri zothandizira odwala matenda ashuga zimatheka pogwiritsa ntchito zakudya zamagulu pang'ono komanso njira zina. Amatha kukhala abwinoko kuposa momwe amakhalira "mwamwambo". Nthawi zambiri, nthawi imodzimodzi, kuyesedwa kumayamba kukonzedwa, kenako wodwalayo amawonetsa kusintha kwa thanzi.
Samalani
Malinga ndi WHO, chaka chilichonse padziko lapansi anthu 2 miliyoni amafa chifukwa cha matenda ashuga komanso zovuta zake. Pokhapokha pakhale thandizo loyenerera la thupi, matenda ashuga amabweretsa mavuto osiyanasiyana, pang'onopang'ono kuwononga thupi la munthu.
Mavuto ambiri omwe amakonda ndi awa: matenda a shuga a shuga, nephropathy, retinopathy, zilonda zam'mimba, hypoglycemia, ketoacidosis. Matenda a shuga amathanso kuyambitsa kukula kwa zotupa za khansa. Pafupifupi nthawi zonse, wodwala matenda ashuga amwalira, akulimbana ndi matenda opweteka, kapena amasintha kukhala munthu wolumala.
Kodi anthu odwala matenda ashuga amatani? Endocrinology Research Center ya ku Russia Academy of Medical Sayansi idachita bwino
Chikhalidwe cha shuga. Mkulu shuga - momwe mungachepetse.
Mwazi wamagazi ndi dzina lanyumba la shuga losungunuka m'magazi, lomwe limazungulira m'matumbo. Nkhaniyi ikufotokozera za miyezo ya shuga ya magazi kwa ana ndi akulu, abambo ndi amayi apakati. Muphunzira chifukwa chake kuchuluka kwa glucose kumachuluka, momwe kumakhala koopsa, komanso koposa momwe mungakuchepetsere moyenera komanso mosatetezeka. Kuyesedwa kwa shuga kwa shuga kumaperekedwa mu labotale pamimba yopanda kanthu kapena mutatha kudya. Anthu opitilira 40 amalangizidwa kuchita izi kamodzi pachaka zitatu. Ngati matenda a shuga a prediabetes kapena Type 2 apezeka, muyenera kugwiritsa ntchito zida zam'nyumba kuyeza shuga kangapo tsiku lililonse. Chida choterocho chimatchedwa glucometer.
Glucose amalowa m'magazi kuchokera pachiwindi ndi m'matumbo, kenako magazi amatenga thupi lonse, kuyambira pamwamba mpaka mutu mpaka chidendene. Mwanjira imeneyi, minofu imalandira mphamvu. Kuti maselo atenge glucose m'magazi, insulin yofunika. Amapangidwa ndi maselo apadera a kapamba - maselo a beta. Mulingo wa shuga ndi kuchuluka kwa shuga m'magazi. Nthawi zambiri, amasinthasintha mosiyanasiyana, osapitilira. Mwazi wochepera wamagazi uli pamimba yopanda kanthu. Mukatha kudya, imadzuka. Ngati zonse zili zabwinobwino ndi kagayidwe ka glucose, ndiye kuti kuwonjezeka kumeneku sikuli kokwanira ndipo osati kwa nthawi yayitali.
- Shuga pamimba yopanda kanthu ndikatha kudya - kusiyana kwake ndi chiyani
- Mwazi wamagazi
- Matenda a shuga ndi matenda ashuga
- Momwe thupi limayang'anira shuga
- Shuga wapamwamba - zizindikiro ndi zizindikiro
- Chifukwa chiyani shuga wambiri ndi woipa
- Zithandizo za anthu
- Glucometer - mita ya shuga kunyumba
- Kuyeza shuga ndi glucometer: Malangizo a pang'onopang'ono
- Kangati patsiku muyenera kuyeza shuga
- Mafunso Ofunsidwa Kawirikawiri
- Mapeto
Thupi limapitiliza kuyang'anira kuchuluka kwa shuga kuti ukhale wathanzi. Shuga wokwera amatchedwa hyperglycemia, wotsika - hypoglycemia. Ngati kuyezetsa magazi zingapo patsiku zosiyanasiyana kukuwonetsa kuti shuga ndiwambiri, mutha kukayikira prediabetes kapena "weniweni" shuga. Kusanthula kumodzi sikokwanira izi. Komabe, munthu ayenera kukhala atcheru kale zotsatira zoyipa zisanachitike. Yesaninso kangapo m'masiku akubwera.
M'mayiko olankhula Chirasha, shuga wamagazi amayezedwa m'mamilimita angapo pa lita imodzi (mmol / l). M'mayiko olankhula Chingerezi, ma milligrams pa desilita (mg / dl). Nthawi zina muyenera kutanthauzira zotsatira za kuwunika kuchokera pa gawo limodzi la muyeso kupita lina. Sizovuta.
- 4.0 mmol / L = 72 mg / dl
- 6.0 mmol / L = 108 mg / dl
- 7.0 mmol / L = 126 mg / dl
- 8.0 mmol / L = 144 mg / dl
Mwazi wamagazi
Mitengo ya shuga m'magazi idadziwika kalekale. Adazindikirika mkati mwa zaka za makumi awiri molingana ndi zotsatira za kafukufuku wa zikwi za anthu athanzi komanso odwala matenda a shuga. Mitengo ya shuga ya odwala matenda ashuga ndiwokwera kwambiri kuposa wathanzi. Mankhwala samayesanso konse kuwongolera shuga m'matenda a shuga, kotero kuti amafika pamlingo wamba. Pansipa mupeza chifukwa chake izi zikuchitika komanso ndi njira zina zochizira.
Zakudya zoyenera zomwe madokotala amalimbikitsa zimadzaza ndi mafuta. Zakudya izi ndizabwino kwa anthu odwala matenda ashuga. Chifukwa chakudya amapangitsa kuti shuga azingokhala. Chifukwa cha izi, odwala matenda ashuga samva bwino ndipo amakula. Odwala omwe ali ndi matenda a shuga omwe amathandizidwa ndi njira zachikhalidwe, shuga amadumpha kuchokera kumtunda kwambiri mpaka kutsika. Zakudya zamafuta zimachulukitsa, kenako ndikubaya jakisoni wamkulu wa insulin. Nthawi yomweyo, palibe chifukwa chobweretsera shuga kukhala yabwinobwino. Madotolo ndi odwala ali ndiokhutitsidwa kale kuti angathe kupewa kukomoka kwa matenda ashuga.
Komabe, ngati mutsatira shuga wochepa wopatsa thanzi, ndiye kuti muli ndi matenda a shuga a 2 komanso ngakhale muli ndi matenda osokoneza bongo 1 shuga, mutha kukhalabe ndi shuga wabwinobwino, monga momwe zimakhalira ndi anthu athanzi. Odwala omwe amaletsa kudya kwa carbohydrate amawongolera shuga yawo yonse popanda insulin, kapena kuwongolera pamiyeso yochepa. Chiwopsezo cha zovuta mu mtima, impso, miyendo, maso - amachepetsa kukhala zero. Tsamba la Diabetes-Med.Com limalimbikitsa kudya zakudya zamafuta ochepa kuti azilamulira odwala a shuga olankhula Chirasha. Kuti mumve zambiri, werengani "Chifukwa Chomwe Mtundu 1 ndi Matenda Atiwiti Awiriwa Akusowa Mthupi." Zotsatirazi zikufotokozera kuchuluka kwa shuga m'magazi mwa anthu athanzi komanso momwe amasiyana mosiyanasiyana malinga ndi boma.
Mwazi wamagazi
Kwa odwala matenda ashuga
Mwa anthu athanzi
Mwa anthu athanzi, shuga wamwazi pafupifupi nthawi yonseyo amakhala m'mitundu 3.9-5.3 mmol / L. Nthawi zambiri, ndi 4.2-4.6 mmol / l, pamimba yopanda kanthu ndikatha kudya. Ngati munthu akudya kwambiri chakudya chamafuta, ndiye kuti shuga amatha kutuluka kwa mphindi zingapo mpaka 6.7-6.9 mmol / l. Komabe, ndizokayikitsa kuti ndizokwezeka kuposa 7.0 mmol / L. Kwa odwala matenda a shuga mellitus, kuchuluka kwa shuga m'magazi a 7-8 mmol / L pakatha maola 1-2 chakudya chikamawonedwa ngati chabwino, mpaka 10 mmol / L - chovomerezeka. Dokotala sangapatseni mankhwala chithandizo chilichonse, koma amangopatsa wodwala chidziwitso chofunikira - kuwunika shuga.
Chifukwa chiyani ndizofunikira kuti odwala matenda ashuga azitsatira posonyeza shuga, monga mwa anthu athanzi? Chifukwa zovuta zambiri zimayamba ngakhale shuga m'magazi akakwera kufika pa 6.0 mmol / L. Ngakhale, zowonadi, sizimakula mwachangu monga pamwambamwamba. Ndikofunika kuti musunge hemoglobin yanu ya glycated pansipa 5.5%. Ngati cholinga ichi chikwaniritsidwa, ndiye kuti chiopsezo cha imfa kuchokera kuzomwe zimayambitsa ndizochepa kwambiri.
Mu 2001, nkhani yokhudza mtima idasindikizidwa ku Britain Medical Journal yokhudza ubale wa glycated hemoglobin ndi kufa. Amatchedwa "Glycated hemoglobin, shuga, ndi kufa kwa amuna ku Norfolk cohort of European Prospective Investigation of Cancer and Nutrition (EPIC-Norfolk)." Olemba - Kay-Tee Khaw, Nicholas Wareham ndi ena. HbA1C inayesedwa mwa amuna 462 wazaka 45-79, kenako zaka 4 zinawonedwa. Mwa omwe adachita nawo kafukufukuyu, ambiri anali anthu athanzi omwe sanali kudwala matenda ashuga.
Zinapezeka kuti kufa kwa zinthu zonse, kuphatikizapo kugunda kwa mtima ndi sitiroko, ndizochepa kwambiri pakati pa anthu omwe hemoglobin ya glycated siinapamwamba kuposa 5.0%. Kukula kulikonse kwa 1% ku HbA1C kumatanthauza chiopsezo cha kufa ndi 28%. Chifukwa chake, mwa munthu yemwe ali ndi HbA1C ya 7%, chiopsezo cha imfa ndichipamwamba ndi 63% kuposa munthu wathanzi. Koma glycated hemoglobin 7% - amakhulupirira kuti uku ndi kuwongolera kwabwino kwa matenda ashuga.
Miyezo yatsopano ya shuga imasefedwa chifukwa kudya “moyenera” sikuloleza kupatsidwa shuga. Madokotala amayesetsa kuti achepetse ntchito yawo popanda kuwononga zotsatira za wodwala. Palibe phindu boma kuti lichiritse odwala matenda ashuga. Chifukwa anthu oyipa amawongolera matenda awo a shuga, omwe amawonjezera ndalama pakubweza ndalama ndi mapindu osiyanasiyana. Mukhale ndi udindo pazamankhwala anu. Yesani zakudya zamafuta ochepa - ndipo onetsetsani kuti zimapereka pambuyo pa masiku awiri ndi atatu. Mwazi wa magazi umatsikira kukhala wabwinobwino, Mlingo wa insulin umachepetsedwa ndi 2-7 nthawi, thanzi limasintha.
Shuga pamimba yopanda kanthu ndikatha kudya - kusiyana kwake ndi chiyani
Mchere wochepera mwa anthu uli pamimba yopanda kanthu, pamimba yopanda kanthu. Chakudya chakudyacho chikamamwa, michere imalowa m'magazi. Chifukwa chake, kuchuluka kwa shuga atatha kudya kumatuluka. Ngati kagayidwe kazakudya sikasokonekera, ndiye kuti kuwonjezeka kumeneku sikuli kokwanira ndipo sikokhalitsa. Chifukwa chakuti zikondamoyo zimabisa insulin yowonjezera kuti itsitse shuga pambuyo pudya.
Ngati mulibe insulin yokwanira (mtundu 1 wa shuga) kapena yofooka (mtundu 2 wa shuga), ndiye kuti shuga mutatha kudya imatuluka maola ochepa aliwonse. Izi ndizovulaza chifukwa zovuta zimayamba pa impso, masomphenyawo amagwa, ndipo mapangidwe ake amanjenje amakhala opuwala. Choyipa chachikulu ndikuti mikhalidwe imapangidwira kugunda kwadzidzidzi kwa mtima kapena stroke. Mavuto azaumoyo omwe amayamba chifukwa cha kuchuluka kwa shuga mutatha kudya nthawi zambiri amawonedwa ngati kusintha kwachilengedwe. Komabe, amafunika kuthandizidwa, mwinanso wodwalayo sangakhale ndi moyo wapakati komanso wokalamba.
Glucose amawerengera:
Kuthamanga shuga | Kuyeza kumeneku kumatengedwa m'mawa, munthu atatha kudya chakudya chamadzulo kwa maola 8 mpaka 12. |
Kuyesedwa kwa shuga kwa maola awiri | Muyenera kumwa madzi amchere okhala ndi magalamu 75 a shuga, kenako kuyeza shuga pambuyo 1 ndi maola awiri. Uku ndiye kuyesa kolondola kopima matenda ashuga ndi prediabetes. Komabe, siyabwino chifukwa ndiyitali. |
Glycated hemoglobin | Zimawonetsa zomwe% glucose imalumikizidwa ndi maselo ofiira ammagazi (maselo ofiira a magazi). Uku ndi kuwunika kofunikira kwambiri pofufuza matenda ashuga ndikuwunika momwe mankhwalawo amathandizira mu miyezi iwiri yapitayi. Zovuta, sizifunikira kutengedwa pamimba yopanda kanthu, ndipo njirayo imachitika mwachangu. Komabe, siyabwino kwa amayi apakati. |
Kuyeza kwa shuga 2 pambuyo pa chakudya | Kuwunika kofunikira kuti kuwunikire bwino ntchito ya chisamaliro cha matenda ashuga. Nthawi zambiri odwala amachita okha pogwiritsa ntchito glucometer. Amakulolani kuti mudziwe ngati mulingo woyenera wa insulin musanadye. |
Kuyesa kwa shuga m'magazi ndi njira yabwino yopezera matenda ashuga. Tiyeni tiwone chifukwa. Matenda a shuga akayamba, shuga wa m'magazi amayamba kudya. Zikondamoyo, pazifukwa zosiyanasiyana, sizingathe kupirira kuti zichepetse mwachangu kuti zizolowereka. Kuonjezera shuga mutatha kudya pang'onopang'ono kumawononga mitsempha yamagazi ndikuyambitsa zovuta. M'zaka zochepa za matenda ashuga, kuthamanga kwa glucose kumatha kukhala kwabwinobwino. Komabe, pakadali pano, zovuta zikupezeka kale. Ngati wodwala sayeza shuga atatha kudya, ndiye kuti samakayikira kudwala kwake mpaka zizindikirazo zikuwonekera.
Kuti mupeze matenda a shuga, tengani magazi a glycated hemoglobin mu labotale. Ngati muli ndi mita ya shuga m'magazi - yeretsani shuga 1 ndi maola awiri mutatha kudya. Musapusitsidwe ngati kuchuluka kwanu kwa shuga kusala kudya. Amayi omwe ali mu II ndi III ma trimesters am'mimba amayenera kuchitadi kuyesa kwa maola awiri pamagetsi. Chifukwa ngati matenda a shuga apezeka, kuwunika kwa hemoglobin ya glycated sikungathandize kuti muzitha kudziwa nthawi yake.
- Mayeso a matenda a shuga: mndandanda watsatanetsatane
- Glycated hemoglobin
- Kuyesedwa kwa shuga kwa maola awiri
Matenda a shuga ndi matenda ashuga
Monga mukudziwa, 90% ya omwe amachititsa kuti shuga asamayende bwino ndi mtundu wa 2 shuga. Simamera nthawi yomweyo, koma kawirikawiri prediabetes imayamba. Matendawa amatha zaka zingapo. Ngati wodwala sanalandire chithandizo, ndiye kuti gawo lotsatira limachitika - "zonse" shuga mellitus.
Momwe mungadziwire matenda oyamba ndi matenda a prediabetes:
- Kuthamanga shuga m'magazi 5.5-7.0 mmol / L.
- Glycated hemoglobin 5.7-6.4%.
- Shuga pambuyo pa maola 1 kapena 2 mutatha kudya 7.8-11.0 mmol / L.
Ndikokwanira kukwaniritsa chimodzi mwazomwe zafotokozeredwa pamwambapa kuti mupeze matenda.
Matenda a shuga ndi vuto lalikulu la metabolic. Muli pachiwopsezo chachikulu cha matenda ashuga amtundu wa 2. Mavuto owopsa pa impso, miyendo, mawonekedwe amaso akupanga tsopano. Ngati simusintha ndikukhala ndi moyo wathanzi, ndiye kuti prediabetes isandulika mtundu 2 shuga. Kapenanso mudzakhala ndi nthawi yakufa kale chifukwa cha vuto la mtima kapena sitiroko. Sindikufuna kukuwopani, koma izi ndi zotheka, osanyengerera. Kodi amathandizidwa bwanji? Werengani zolemba Metabolic Syndrome ndi Insulin Resistance, kenako kutsatira malangizowo.Matenda a shuga amatha kuyendetsedwa mosavuta popanda jakisoni wa insulin. Palibenso chifukwa chodzakhala ndi njala kapena kugwira ntchito molimbika.
Njira zoyenera kudziwa mtundu wachiwiri wa matenda ashuga:
- Kufulumira kwa shuga kumakhala kwakukulu kuposa 7.0 mmol / L malinga ndi zotsatira za kusanthula kawiri mzere pamasiku osiyanasiyana.
- Nthawi inayake, shuga wamagazi anali okwera kuposa 11.1 mmol / L, mosasamala kanthu za kudya.
- Glycated hemoglobin 6.5% kapena kuposa.
- Panthawi yovomerezeka ya glucose ya maola awiri, shuga anali 11.1 mmol / L kapena kuposa.
Monga matenda am'mbuyomu, chimodzi mwazomwe zatchulidwa pamwambapa ndizokwanira kuzindikira. Zizindikiro zodziwika bwino ndi kutopa, ludzu, komanso kukodza pafupipafupi. Pangakhale kuchepetsa osafotokozera. Werengani nkhani "Zizindikiro za matenda a shuga" mwatsatanetsatane. Nthawi yomweyo, odwala ambiri sazindikira chilichonse. Kwa iwo, zotsatira zoyipa za shuga m'magazi ndizosadabwitsa.
Gawo lapitalo limafotokoza chifukwa chake kuchuluka kwa shuga m'magazi kumakhala kwambiri. Muyenera kuwomba alamu kale shuga atatha kudya ndi 7.0 mmol / L, ndipo makamaka ngati apamwamba. Kusala shuga kumatha kukhala kwabwinobwino kwa zaka zochepa pomwe matenda ashuwarawa amawononga thupi. Kusanthula uku sikuli kwanzeru kupitilira kuzindikira matenda. Gwiritsani ntchito njira zina - glycated hemoglobin kapena shuga wamagazi mukatha kudya.
Type 2 shuga
Zowopsa zomwe zimayambitsa matenda a prediabetes ndi matenda a shuga a 2:
- Kunenepa kwambiri - index of body 25 kg / m2 and above.
- Kupsinjika kwa magazi 140/90 mm RT. Art. ndi mmwamba.
- Zotsatira zoyesa zamagazi cholesterol.
- Amayi omwe amakhala ndi mwana wolemera makilogalamu 4.5 kapena kuposerapo kapena wapezeka ndi matenda ashuga akakhala ndi pakati.
- Polycystic ovary.
- Milandu ya matenda amtundu 1 kapena matenda ashuga 2 m'banja.
Ngati muli ndi chimodzi mwazovuta izi, muyenera kuyang'ana shuga wanu wamagazi zaka zitatu zilizonse, kuyambira pazaka 45. Kuyang'anira ana ndi achinyamata omwe ali onenepa kwambiri komanso omwe ali ndi vuto lina lowonjezera kumalimbikitsidwanso. Afunika kuwunika shuga pafupipafupi, kuyambira ali ndi zaka 10. Chifukwa kuyambira 1980s, matenda ashuga amtundu wa 2 adakula. M'mayiko a Azungu, zimawonekera ngakhale mwa achinyamata.
Momwe thupi limayang'anira shuga
Thupi limayang'anira mosalekeza kuchuluka kwa shuga m'magazi, kuyesera kuti lisasungidwe mkati mwa 3.9-5.3 mmol / L. Izi ndiye zolondola pamoyo wabwino. Anthu odwala matenda ashuga amadziwa bwino kuti mutha kukhala ndi moyo wambiri ndi shuga. Komabe, ngakhale ngati palibe zizindikiro zosasangalatsa, shuga wowonjezereka amalimbikitsa kukula kwamavuto a shuga.
Shuga wotsika amatchedwa hypoglycemia. Uku ndi tsoka lenileni kwa thupi. Ubongo sulekerera pakakhala kuti palibe magazi okwanira m'magazi. Chifukwa chake, hypoglycemia imangodziwonetsera ngati zizindikiro - kusakwiya, mantha, palpitations, njala yayikulu. Ngati shuga agwera mpaka 2.2 mmol / L, ndiye kuti kusokonekera kwa chikumbumtima ndi kufa kumatha kuchitika. Werengani zambiri mulemba "Hypoglycemia - Kupewa ndi Kupulumutsidwa kwa Attack."
Ma hormone a Catabolic ndi insulin ndi okondana wina ndi mnzake, i.e., amakhala ndi zotsutsana. Kuti mumve zambiri, werengani nkhani "Momwe Insulini Imalamulira Magazi a shuga mwa Matenda Achimodzimodzi ndi Matenda A shuga".
Nthawi iliyonse, shuga wambiri amayenda m'magazi a munthu. Mwachitsanzo, mwa bambo wamkulu wolemera makilogalamu 75, kuchuluka kwa magazi m'thupi ndi malita asanu. Kuti tikwaniritse shuga m'magazi a 5.5 mmol / L, ndikokwanira kupukusa mkati mwake magalamu asanu okha a glucose. Izi ndi pafupifupi supuni 1 ya shuga ndi slide. Pa sekondi iliyonse, ma microscopic Mlingo wama glucose ndi mahomoni owongolera amalowa m'magazi kuti akhale bwino. Izi zimachitika maola 24 tsiku lililonse osasokoneza.
Shuga wapamwamba - zizindikiro ndi zizindikiro
Nthawi zambiri, munthu amakhala ndi shuga wambiri chifukwa cha matenda ashuga. Koma pakhoza kukhala zifukwa zina - mankhwala, kupsinjika kwamphamvu, kusokonezeka m'matumbo a adrenal kapena pituitary, matenda opatsirana. Mankhwala ambiri amalimbikitsa shuga. Awa ndi ma corticosteroids, beta-blockers, thiazide diuretics (okodzetsa), antidepressants. Kuti mupeze mndandanda wathunthu munkhaniyi sizotheka. Dokotala wanu asanakupatseni mankhwala ena, kambiranani momwe zakhudzira shuga wanu wamagazi.
Nthawi zambiri hyperglycemia siziwonetsa chilichonse, ngakhale shuga atakhala wamkulu kwambiri kuposa wabwinobwino. Woopsa akayamba kudwala, wodwalayo amatha kuzindikira. Hyperglycemic coma ndi ketoacidosis ndizovuta zowopsa zomwe zimabweretsa shuga.
Zovuta pachimake, koma zofala zambiri:
- ludzu lalikulu
- kamwa yowuma
- kukodza pafupipafupi,
- Khungu lumauma,
- mawonekedwe osaneneka
- kutopa, kugona,
- Kuchepetsa thupi
- mabala, zipsera sizichiritsa,
- zomverera zosasangalatsa m'miyendo - kumeza, tsekwe,
- pafupipafupi matenda opatsirana komanso fungus omwe ndizovuta kuchiza.
Zizindikiro zowonjezera za ketoacidosis:
- kupumira pafupipafupi komanso kwanthawi yayitali
- Fungo la acetone popuma,
- chikhalidwe chosakhazikika.
- Hyperglycemic chikomokere - mwa okalamba
- Matenda ashuga ketoacidosis - odwala ndi matenda ashuga 1, achikulire ndi ana
Chifukwa chiyani shuga wambiri ndi woipa
Ngati simumalandira shuga wamagazi ambiri, zimayambitsa zovuta komanso zovuta za matenda ashuga. Mavuto owopsa adatchulidwa pamwambapa. Ichi ndi hyperglycemic chikomokere ndi matenda ashuga ketoacidosis. Amawonetsedwa ndi kusazindikira bwino, kukomoka ndipo amafuna chithandizo chamankhwala mwadzidzidzi. Komabe, zovuta zazovuta zimayambitsa kuphedwa kwa 5-10% ya odwala matenda ashuga. Ena onse amafa ndi zovuta mu impso, kupenya, miyendo, mantha am'mimba, ndipo koposa zonse - kuchokera ku vuto la mtima ndi sitiroko.
Shuga wokwera kwambiri amawononga makoma amitsempha yamagazi kuchokera mkati. Amakhala olimba mopanda kunenepa. Pazaka zambiri, calcium amawayika pa iwo, ndipo zombozo zimafanana ndi mapaipi akale amiyala. Izi zimatchedwa angiopathy - kuwonongeka kwa mtima. Komanso imayambitsa zovuta za matenda ashuga. Zoopsa zake zazikulu ndi kulephera kwa impso, khungu, kudula mwendo kapena phazi, ndi matenda amtima. Mukakhala ndi shuga m'mwazi, zovuta zake zimayamba kukhazikika ndikuwonekera kwambiri. Yang'anirani chithandizo ndi chisamaliro cha matenda anu a shuga!
- Momwe mungalandiridwire matenda a shuga a mtundu wachiwiri: njira imodzi ndi imodzi
- Mankhwala 2 a shuga: nkhani yatsatanetsatane
- Mapiritsi a Siofor ndi Glucofage
- Momwe mungaphunzirire kusangalala ndi maphunziro akuthupi
- Mtundu woyamba wa chithandizo cha matenda a shuga kwa akulu ndi ana
- Nthawi ya tchuthi ndi momwe mungakulitsire
- Njira ya jakisoni wopweteka wa insulin
- Matenda a shuga 1 amtundu wa mwana amathandizidwa popanda insulin pogwiritsa ntchito zakudya zoyenera. Mafunso ndi banja.
- Momwe mungachepetse kuwonongeka kwa impso
Zithandizo za anthu
Chithandizo cha anthu omwe amachepetsa shuga m'magazi a ku Yerusalemu ndi artichoke, sinamoni, komanso njira zingapo zamankhwala azitsamba, mankhwala, zotupa, mapemphero, chiwembu, zina. kuti simunalandire phindu lililonse. Zithandizo za anthu zimapangidwira kwa odwala matenda ashuga omwe amadzinyenga, m'malo mothandizidwa bwino. Anthu oterewa amafa msanga chifukwa cha zovuta.
Mafanizi azitsamba za anthu odwala matenda ashuga ndiwo "makasitomala" akuluakulu a madokotala omwe amalimbana ndi kulephera kwa impso, kucheka kwa malekezero ena am'munsi, komanso ophthalmologists. Mavuto a matenda a shuga a impso, miyendo ndi maso zimawonetsa zaka zovuta zambiri wodwala asanaphe kapena matenda a mtima. Opanga ambiri ogulitsa mankhwalawa amagwira ntchito mosamala kuti asatsutsidwe ndi mlandu. Komabe, ntchito zawo zimaphwanya malamulo amakhalidwe abwino.
Yerusalemu artichoke | Zomera zabwino. Muli mafuta ochulukirapo, kuphatikizapo fructose, omwe ndi bwino odwala omwe ali ndi matenda ashuga kupewa. |
Cinnamon | Fungo lonunkhira lomwe nthawi zambiri limagwiritsidwa ntchito pophika. Umboni wa matenda ashuga umatsutsana. Mwina amachepetsa shuga ndi 0.1-0.3 mmol / L. Pewani zosakaniza zopangidwa kale ndi sinamoni ndi shuga wa shuga. |
Kanema "M'dzina la moyo" wolemba Bazylkhan Dyusupov | Palibe ndemanga ... |
Njira ya Zherlygin | Zowopsa. Akuyesa kukopa ma eyuroni okwana 45-90, 000 popanda chithandizo. Mtundu wachiwiri wa matenda ashuga, zolimbitsa thupi zimachepetsa shuga - ndipo popanda Zherlygin zakhala zikudziwika kale. Werengani momwe mungasangalalire ndi maphunziro akuthupi kwaulere. |
Pangani shuga ndi magazi anu kangapo patsiku. Ngati mukuwona kuti zotsatira zake sizikuyenda bwino kapena zikuipiraipira, siyani kugwiritsa ntchito mankhwala opanda pake.
Pochizira mafupa, owerenga athu adagwiritsa ntchito DiabeNot bwino. Kuwona kutchuka kwa malonda, tidaganiza zoperekera chidwi chanu.
Funsani dokotala musanamwe mankhwala ena alionse a shuga. Makamaka ngati mwayamba kale zovuta za impso kapena muli ndi matenda a chiwindi. Zowonjezera zomwe zatchulidwa pamwambapa sizilowa m'malo mwa chithandizo ndi zakudya, jakisoni wa insulin, komanso zolimbitsa thupi. Mutayamba kumwa alpha-lipoic acid, mungafunike kuchepetsa mlingo wa insulin yanu kuti pasakhale hypoglycemia.
- Chithandizo cha Folk cha matenda a shuga - Mankhwala azitsamba
- Mavitamini a shuga - Magnesium-B6 ndi Chromium Supplements
- Alpha lipoic acid
Glucometer - mita ya shuga kunyumba
Ngati mwazindikira kuti ndi prediabetes kapena matenda ashuga, ndiye kuti muyenera kugula mwachangu chida chakuyezera kwanu shuga. Chipangizochi chimatchedwa glucometer. Popanda icho, matenda a shuga sangathe kuyendetsedwa bwino. Muyenera kuyeza shuga osachepera 2-3 patsiku, makamaka nthawi zambiri. Mitsempha yamagazi a kunyumba inatuluka m'ma 1970. Mpaka pomwe amagwiritsidwa ntchito kwambiri, odwala matenda ashuga amayenera kupita ku labotale nthawi iliyonse, kapena ngakhale kukhala kuchipatala kwa milungu ingapo.
Mamita amakono a glucose amakono ndi opepuka komanso osalala. Amayeza shuga m'magazi pafupifupi osapweteka ndipo amawonetsa zotsatira zake. Vuto lokhalo ndiloti zingwe zoyeserera sizotsika mtengo. Muyezo uliwonse wa shuga mumakhala pafupifupi $ 0,5. Ndalama zonse zimapitilira mwezi umodzi. Komabe, izi ndi ndalama zosapeweka. Pulumutsani pamiyeso yoyeserera - pitani mukamachiritsa odwala matenda ashuga.
Panthawi ina, madokotala anakana kulowa nawo msika wa glucometer. Chifukwa adawopsezedwa ndi kutayika kwa magwero akuluakulu achuma kuchokera kuyezetsa magazi a labotale chifukwa cha shuga. Mabungwe azachipatala adatha kuchedwetsa kukwezedwa kwa shuga wamagazi kunyumba kwa zaka 3-5. Komabe, zida izi zikagulitsidwa, adayamba kutchuka. Mutha kudziwa zambiri pa nkhaniyi pa Dr. Bernstein. Tsopano, mankhwala ovomerezeka akuchepetsa kupititsanso kwa zakudya zamafuta ochepa - chakudya chokhacho choyenera kwa odwala omwe ali ndi matenda a shuga a mtundu woyamba 1.
Kuyeza shuga ndi glucometer: Malangizo a pang'onopang'ono
Odwala a shuga ayenera kuyeza shuga ndi glucometer osachepera 2-3 patsiku, makamaka makamaka. Iyi ndi njira yosavuta komanso yopweteka. M'miyendo yoloza zala, singano ndizowonda kwambiri. Zomverera sizimapwetekanso kwambiri monga momwe kulumidwa ndi udzudzu. Kungakhale kovuta kuyeza shuga lanu lamwazi koyamba, kenako mudzayamba kusuta. Ndikofunika kuti wina ayambe kuwonetsa momwe angagwiritsire ntchito mita. Koma ngati palibe munthu wodziwa zambiri pafupi, mutha kuthana nawo nokha. Gwiritsani ntchito malangizo omwe ali pansipa.
- Sambani manja anu ndi youma bwino.
- Kusamba ndi sopo ndikofunikira, koma osafunikira ngati palibe zikhalidwe za izi. Osapukuta ndi mowa!
- Mutha kugwedeza dzanja lanu kuti magazi ayambe kupita ku zala zanu. Komanso, gwiritsani pansi pamtsinje wamadzi ofunda.
- Zofunika! Tsambalo liponya louma. Musalole madzi kuti atulutsire dontho la magazi.
- Ikani gawo loyeserera mu mita. Onetsetsani kuti uthenga wabwino ukuonekera pazenera, mutha kuyeza.
- Pierce chala chokhala ndi lancet.
- Kuchepetsa chala chanu kufinya dontho la magazi.
- Ndikofunika kuti musagwiritse ntchito dontho loyamba, koma kuti muchotse ndi ubweya wouma kapena thonje. Uku si malingaliro ovomerezeka. Koma yesani kutero - ndipo onetsetsani kuti kuwongolera kwakeko kwatsimikizika.
- Finyani dontho lachiwiri la magazi ndikuwapaka pamiyeso.
- Zotsatira zake ziziwoneka pazenera la mita - zilembeni ku dayosiyamu yanu yoyang'anira matenda a shuga limodzi ndi zambiri.
Ndikofunika kusunga diary control diabetes mosalekeza. Lembani izi:
- tsiku ndi nthawi ya muyeso wa shuga,
- Zotsatira zake
- zomwe adadya
- omwe adamwa mapiritsiwo
- kuchuluka ndi insulin yamtundu wanji,
- zomwe zinali zolimbitsa thupi, kupsinjika ndi zina.
M'masiku ochepa muwona kuti ichi ndi chidziwitso chofunikira. Dzifufuzeni nokha kapena ndi dokotala. Mvetsetsani momwe zakudya zosiyanasiyana, mankhwala osokoneza bongo, jakisoni wa insulin, ndi zinthu zina zimakhudzira shuga wanu. Werengani nkhani yakuti: “Zomwe zimakhudza shuga. Mungapewe bwanji kuthana ndi kuyenda osazolowereka. "
Momwe mungapezere zotsatira zolondola poyesa shuga ndi glucometer:
- Werengani mosamala malangizo a chipangizo chanu.
- Onani mita kuti muone ngati ili pamwambapa. Ikapezeka kuti chipangizochi chagona, musachigwiritse ntchito, chotsani china.
- Monga lamulo, glucometer yomwe imakhala ndi zotsika mtengo zoyesera siyolondola. Amayendetsa odwala matenda ashuga kumanda.
- Pansi pa malangizo, werengani momwe mungagwiritsire dontho la magazi pachifuwa.
- Tsatirani mosamalitsa malamulo osunga mizere. Tsekani botolo mosamala kuti mpweya wambiri usalowe. Kupanda kutero, zingwe zoyeserera ziwonongeka.
- Osagwiritsa ntchito zingwe zoyeserera zomwe zatha.
- Mukapita kwa dokotala, tengani glucometer nanu. Sonyezani adokotala momwe mumayeza shuga. Mwina dokotala wodziwa zambiri angakuwonetseni zomwe mukuchita zolakwika.
Kangati patsiku muyenera kuyeza shuga
Kuti muchepetse matenda a shuga, muyenera kudziwa momwe shuga yanu imakhalira tsiku lonse. Kwa odwala matenda ashuga ambiri, vuto lalikulu limachulukitsidwa m'mawa m'mimba yopanda kanthu, kenako ndikudya cham'mawa. Mwa odwala ambiri, shuga amawonjezereka kwambiri pambuyo pa nkhomaliro kapena madzulo. Mkhalidwe wanu ndi wapadera, wosafanana ndi wina aliyense. Chifukwa chake, tikufunika kukonzekera payekha - zakudya, jakisoni wa insulin, kumwa mapiritsi ndi zochitika zina. Njira yokhayo yopezera chidziwitso chofunikira pakuwongolera matenda a shuga ndikuyesa shuga wanu pafupipafupi ndi glucometer. Zotsatirazi zikufotokoza kangati patsiku muyenera kuyeza.
Kuyang'anira magazi konse ndikamayesa:
- m'mawa - titangodzuka.
- kenako - musanayambe kudya chakudya cham'mawa,
- Maola 5 mutatha jakisoni aliyense wa insulin,
- pamaso chakudya chilichonse kapena chakudya.
- mukatha kudya chilichonse kapena zakudya zina - patatha maola awiri,
- musanagone
- musanakhale ndi maphunziro akuthupi, zochitika zovuta, zoyeserera zamphamvu kuntchito,
- mukangomva njala kapena kukayikira kuti shuga yanu ndiyapansi kapena kuposa apo,
- musanayendetse galimoto kapena kuyamba kugwira ntchito zoopsa, ndipo kenako ola lililonse mpaka mutamaliza,
- pakati pausiku - kupewa mankhwalawa hypoglycemia.
Nthawi iliyonse mukatha kuyeza shuga, zotsatira zake ziyenera kulembedwa mu diary. Sonyezani nthawi ndi zochitika zina:
- Zomwe adadya - zakudya, magalamu angati,
- insulin yomwe idalowetsedwa komanso mlingo uti
- mapiritsi a shuga omwe adamwa
- watani
- zolimbitsa thupi
- wokometsedwa
- matenda opatsirana.
Lembani zonse, bwerani. Ma cell amakumbukidwe a mita samalola kujambula zochitika zotsatana.Chifukwa chake, kuti musunge zolemba, muyenera kugwiritsa ntchito cholembera pepala, kapena bwino, pulogalamu yapadera mufoni yanu. Zotsatira za kuwunika kwathunthu kwa glucose zimatha kusanthula palokha kapena palimodzi ndi dokotala. Cholinga ndikufuna kudziwa kuti ndi nthawi yanji masana komanso kuti shuga yanu siyabwinobwino. Ndipo kenako, chitani zinthu - gwiritsani ntchito pulogalamu yochizira matenda ashuga.
Kudziletsa kwathunthu kwa shuga kumakupatsani mwayi wowunika momwe zakudya zanu, mankhwala, maphunziro akuthupi ndi jakisoni wa insulin alili. Popanda kuwunikira mosamala, ma charlatans okha ndi omwe "amathandizira" matenda a shuga, pomwe pamakhala njira yolunjika kwa dotolo kuti akadule phazi ndi / kapena kwa nephrologist kuti adayetse matenda. Anthu ochepa odwala matenda ashuga omwe amakhala okonzekera kukhala tsiku ndi tsiku mu njira zomwe tafotokozazi. Chifukwa mtengo wa mayeso woyezera wa glucometer ukhoza kukhala wokwera kwambiri. Komabe, yang'anirani kwathunthu magazi osachepera tsiku limodzi sabata lililonse.
Ngati mukuwona kuti shuga wanu wayamba kusinthasintha mwanjira ina, ndiye kuti ingokhalani masiku angapo mumachitidwe owongolera mpaka mutapeza ndikuchotsa zomwe zimayambitsa. Ndikofunika kuphunzirira nkhani ya "Zomwe zimakhudza shuga. Momwe mungathetsere kudumpha ndi kukhalabe kwabwinobwino. ” Ndalama zochulukirapo zomwe mumagwiritsa ntchito poyesa mita ya glucose, mumasunga ndalama zambiri pochiza zovuta za shuga. Cholinga chachikulu ndikukhala ndi thanzi labwino, kupulumuka anzanu ambiri osakhala okalamba. Kusunga magazi nthawi zonse osapitilira 5.2-6.0 mmol / L ndi zenizeni.
Mafunso Ofunsidwa Kawirikawiri
Ngati mwakhala zaka zingapo ndi shuga wambiri, 12 mmol / L ndi kupitilirapo, ndiye kuti sibwino kuti muchepetse mwachangu mpaka 4-6 mmol / L, monga mwa anthu athanzi. Chifukwa zizindikiro zosasangalatsa komanso zowopsa za hypoglycemia zitha kuwoneka. Makamaka, zovuta za shuga m'masomphenya zimatha kukula. Ndikulimbikitsidwa kuti anthu oterowo ayambe kutsitsa shuga mpaka 7-8 mmol / L ndikulola kuti thupi lizolowere mkati mwa miyezi 1-2. Ndipo kenako pitirirani kwa anthu athanzi. Kuti mumve zambiri, onani nkhani yakuti “Zolinga za chisamaliro cha matenda ashuga. Ndi shuga uti amene muyenera kulimbana naye. ” Ili ndi gawo "Mukafunikira makamaka shuga."
Nthawi zambiri simumayesa shuga ndi glucometer. Kupanda kutero, akadazindikira kuti buledi, chimanga ndi mbatata zimachulukitsa chimodzimodzi ndi maswiti. Mutha kukhala ndi matenda osokoneza bongo kapena matenda oyamba a shuga 2. Kuti mumvetse bwino za matendawa, muyenera kupereka zambiri. Momwe angapangidwire - afotokozedwa mwatsatanetsatane m'nkhaniyi. Njira yayikulu yochepetsera ndi zakudya zamafuta ochepa.
Shuga m'mawa pamimba yopanda kanthu amadzuka chifukwa m'maola angapo m'mawa, chiwindi chimachotsa insulini m'magazi. Izi zimatchedwa chodabwitsa cha m'bandakucha. Amapezeka mwa odwala ambiri omwe ali ndi matenda amtundu wa 2 komanso a 2. Werengani zambiri kuti mudziwe bwanji shuga m'mimba popanda kanthu. Ili si ntchito yosavuta, koma yotheka. Muyenera kulangidwa. Pakatha milungu itatu, chizolowezi chokhazikika chimakhazikika, ndipo kumamatira ku regimen kumakhala kosavuta.
Ndikofunikira kuyeza shuga m'mawa uliwonse pamimba yopanda kanthu. Ngati mungabaye insulin musanadye, muyenera kuyeza shuga musanadye jekeseni iliyonse, ndipo kenanso maola awiri mutatha kudya. Izi zimapezeka 7 pa tsiku - m'mawa mopanda kanthu m'mimba komanso zina kawiri pachakudya chilichonse. Ngati muli ndi matenda ashuga amtundu wa 2 ndipo mumawongolera ndi zakudya zamafuta ochepa osaba jakisoni wothamanga, ndiye kuyeza shuga maola awiri mutatha kudya.
Pali zida zomwe zimatchedwa pitilizani kuunika magazi. Komabe, ali ndi cholakwika chachikulu kwambiri poyerekeza ndi glucometer wamba. Mpaka pano, Dr. Bernstein sanalangizebe kuzigwiritsa ntchito. Komanso, mtengo wawo umakhala wokwera.
Yesani nthawi zina kuboola ndi chala chanu osati zala zanu, koma madera ena khungu - kumbuyo kwa dzanja lanu, mkono wamanja, ndi zina. Pamwambapa, nkhaniyi ikufotokoza momwe mungachitire bwino. Mulimonsemo, sinthani zala za manja onse awiri. Osamamenyetsa chala chomwecho nthawi zonse.
Njira yokhayo yochepetsera shuga mwachangu ndikumabaya insulin yochepa kapena yochepa kwambiri. Zakudya zamafuta ochepa zimatsika shuga, koma osati nthawi yomweyo, koma mkati mwa masiku atatu. Mitundu yina ya 2 ya matenda ashuga mwachangu. Koma ngati mutawatenga pa Mlingo wolakwika, ndiye kuti shuga amatha kutsika mopitirira muyeso, ndipo munthu amatha kuzindikira. Zithandizo zachikhalidwe ndi zachinyengo, sizithandiza konse. Matenda a shuga ndi matenda omwe amafunikira chithandizo chamankhwala, kulondola, kulondola. Mukamayesetsa kuchita zinthu mwachangu, mwachangu, mutha kungovulaza.
Muyenera kuti muli ndi matenda ashuga amtundu woyamba. Yankho lenileni la funsoli linaperekedwa m'nkhani yakuti: “Maphunziro azachilengedwe a matenda ashuga.” Mulimonsemo, zabwino zolimbitsa thupi mumapeza kuposa zovuta. Osasiya maphunziro akuthupi. Pambuyo poyesera kangapo, mupeza momwe mungakhalire shuga wabwinobwino musanayambe kuchita masewera olimbitsa thupi komanso pambuyo pake.
M'malo mwake, mapuloteni amawonjezera shuga, koma pang'onopang'ono komanso osatinso michere. Cholinga chake ndikuti gawo la mapuloteni adyidwa m'thupi limasandulika kukhala glucose. Werengani nkhani yakuti "Mapuloteni, Mafuta, Zakudya Zam'madzi, ndi CHIKWANGWANI CHA CHAKUDYA CHOKHALITSA" Ngati mutsatira zakudya zamafuta ochepa kuti muchepetse matenda ashuga, muyenera kuganizira kuchuluka kwa mapuloteni omwe mumadya kuti muwerenge kuchuluka kwa insulin. Anthu odwala matenda ashuga omwe amadya chakudya chamagulu omwe amakhala ndi chakudya chambiri sazindikira mapuloteni. Koma ali ndi mavuto enanso ...
- Momwe mungayesere shuga ndi glucometer, kangati patsiku muyenera kuchita izi.
- Momwe mungasungire zolemba za matenda a shuga komanso motani
- Mitengo ya shuga m'magazi - chifukwa chake amasiyana ndi anthu athanzi.
- Zoyenera kuchita ngati shuga ndiwambiri. Momwe mungachepetse ndikuisunga bwino.
- Zida zamankhwala othandizira odwala matenda ashuga okalamba komanso otsogola.
Zomwe zili m'nkhaniyi ndiye maziko a pulogalamu yanu yolimbana ndi matenda a shuga. Kukhala ndi shuga wokhazikika, ngati momwe zimakhalira ndi anthu athanzi, ndizotheka kukwaniritsa ngakhale matenda ashuga amtundu woyamba, komanso makamaka ndi matenda a shuga 2. Mavuto ambiri sangathe kuchepetsedwa, komanso kuchiritsidwa kwathunthu. Kuti muchite izi, simuyenera kufa ndi njala, kuvutika m'makalasi ophunzitsa zolimbitsa thupi kapena kubaya Mlingo waukulu wa insulin. Komabe, muyenera kukulitsa kulanga kuti muzitsatira boma.
Kodi shuga wa mkodzo amatanthauza chiyani?
Mwazi wamagazi ulipo ngakhale mwa munthu wathanzi ndipo izi zimawoneka ngati zabwinobwino ngati zizindikiro sizikupitilira muyeso wololeka.
Koma nthawi zina shuga amapezeka mumkodzo ndipo ichi ndi chifukwa chowunikira kokwanira, chifukwa chitha kukhala chizindikiro cha matenda oopsa.
Mitundu ya shuga mkodzo
Kupezeka kwa shuga mkodzo kumatchedwa glucosuria. Pali mitundu ingapo ya izi:
- Emotional - kuyezetsa kwabwino kwa glucose kumachitika chifukwa cha kupsinjika kwakukulu kapena kupsinjika kwamanjenje. Nthawi zambiri mtundu uwu wa glucosuria umapezeka mwa amayi nthawi yomwe ali ndi pakati.
- Pathological - shuga amawoneka mkodzo chifukwa cha kuchuluka kwake m'madzi a m'magazi.
- Alimentary - glucose mu mkodzo adapezeka koyamba komanso pambuyo povutitsidwa ndi zakudya zomwe zili ndi mafuta ambiri.
Chifukwa chake, glucosuria sikuti nthawi zonse ndi chizindikiro cha matenda, koma ngati ilipo, kuyezetsa kumafunikira kuti mupeze kapena kutsimikizira matendawa.
Nthawi zambiri, mwa achikulire athanzi, Zizindikiro siziyenera kupitirira 0,08 g / l kapena 2.8 mmol / l. Ndipo zimatanthawuza chiyani ngati glucose mumkodzo amawonjezeka kuposa 3%?
Ngati zotsatira za kusanthula sizisintha mukamabwereza phunzirolo, ndiye kuti izi zitha kuwonetsa kuwonongeka kwa impso, kapena m'malo mwake, a renal tubules, omwe sangathe kuthana ndi kusefedwa. Zikutanthauzanso kuti misinkhu ya shuga yamagazi nawonso imakwezedwa.
Zifukwa zakukula
Chifukwa chiyani glucosuria amapezeka?
Nthawi zambiri, matendawa amapezeka ndi insulin yodalira matenda a shuga. Poterepa, pali kuchuluka kwa shuga mu mkodzo ndikuchepa kwa magazi ake.
Ndi kusowa kwa insulin, kapangidwe ka hexokinase, enzyme yomwe imayendetsa magwiridwe antchito am'madzi komanso kulowetsedwa kwa glucose m'magazi, imalephera ndipo mawonekedwe a impso amachepa. Koma zimachitikanso kuti impso mu matenda ashuga zimakhudzidwa kenako zotsatira zotsutsana zimapezeka, mulingo wa magazi umakwera, koma osapezeka mkodzo.
Endocrine glucosuria amakula ndikuwonongeka kwa ubongo.
Hemorrhagic stroke, zoopsa ubongo kuvulala, meningitis, chotupa mu ubongo, khunyu, zonsezi zimakwiyitsa magazi kulowa mkodzo.
Zizindikiro zomwezo pakuwunika zimapezeka mu pancreatitis yovuta, ndi kuledzera ndi mankhwala, strychnine, mankhwala ndi mankhwala oopsa.
Pali zinthu zambiri zomwe zingakhudze mawonekedwe a shuga mumkodzo.
Zambiri ndi izi:
- matenda a impso (glomerulonephritis, pyelonephritis),
- Matenda a chiwindi ndi kapamba (matenda a Girke, kapamba pachimake),
- matenda ashuga
- matenda opatsirana
- hyperthyroidism
- ubongo matenda,
- pheochromocytoma,
- Itsenko-Cushing's syndrome,
- kulephera kwa aimpso tubules.
Komanso, glucosuria imatha kuchitika pazifukwa izi:
- mavuto amanjenje
- kudya kwambiri maswiti kapena zakudya zamafuta patsiku lamaphunziro,
- poyizoni wazakudya zoopsa ndi mankhwala amphamvu.
- kupanikizika kwa nthawi yayitali
- ntchito yayikulu
- kumwa mankhwala oletsa kutupa.
Mulimonsemo, glucosuria yayikulu ndi chizindikiro choopsa cha matenda akulu, chifukwa chake, kupezeka kwa matenda ndi amuna ndi akazi kumafunikira kulumikizana ndi dokotala kuti apereke mankhwala oyenera.
Mu ana, zovomerezeka zomwe sizimasiyana ndizizindikiro za akuluakulu. Ndipo kupezeka kwa shuga mumkodzo kungakhale chizindikiritso cha kugwiritsa ntchito maswiti ambiri, komanso chisonyezo cha matenda opezeka kale. Chifukwa chake, phunziroli liyenera kubwerezedwa ndipo, ngati kuli kofunikira, funsani dokotala kuti akuuzeni upangiri.
Zotsatira za glucosuria
Ngati glucosuria adapezeka kamodzi kokha komanso chifukwa chakuchulukitsa kwakuthupi, kupsinjika kapena kugwiritsa ntchito maswiti, ndiye kuti palibe chifukwa chodera nkhawa. Koma ngati kukonzanso kunadzakhala koyenera, ndiye kuti chithandizo chikuyenera kuthandizidwa kwambiri, chifukwa matenda akulu amatha kukhala motsutsana ndi maziko a glucosuria.
Shuga mumkodzo amatha kuwonetsa kuwonongeka kwa impso kapena chiwindi, ikhoza kukhala chizindikiro cha zovuta za endocrine komanso matenda a chithokomiro. Kuseri kwa kuchuluka kwa shuga mkodzo, chotupa mu ubongo, meningitis, encephalitis ndi zina zomwe zimayambitsa matenda amkati mwazinsinsi zimatha kubisika.
Chimodzi mwazotsatira zoyipa ndi mwayi wokhala ndi matenda ashuga. Njira zamatsenga zimasokonekera, kapamba amakhudzidwa, ntchito yamtima imamipira. Mtsogolomo, mathero a mitsempha amawonongeka, amayamba ndi mavuto amaso, mwina kutuluka kwa khungu ndi khungu lathunthu.
Kuphwanya ntchito yamanjenje kumabweretsa chakuti miyendo imasiya kumva. Amapanga mabala ndi zilonda zam'mimba, zomwe zimatha kudzetsa kukula kwa zilonda zam'mimba ndikuduladula miyendo.
Vuto lalikulu la matenda ashuga ndi hypo- ndi hyperglycemic, komanso ketoacidotic coma. Vutoli limayamba chifukwa cha kuwonjezeka kwambiri kapena kutsika kwa shuga m'magazi ku ziwerengero zovuta ndipo zimatha kudwala matenda a dementia kapena kufa.
Chifukwa chake, ndikuwoneka kwa glucosuria, muyenera kuyesedwa mosachedwa ndikuyamba chithandizo, ndikuwona malingaliro onse a dokotala.
Zizindikiro za Glucose Wapamwamba
Glucosuria yolimbana ndi matenda osokoneza bongo akhoza kutsagana ndi mawonetsedwe otsatirawa:
- pali ludzu losasunthika
- kuyanika kwa mucous nembanemba pamlomo wamkamwa kumawonekera
- kumawonjezera kapena kuchepa chilakolako cha chakudya,
- kupweteka mutu
- kukodza kambiri kumachulukana ndipo mkodzo wambiri umachotsedwa,
- kugona kusokonezedwa
- kupanikizika kumakula
- kufooka ndi kukwiya kuwonekera,
- Khungu limawuma ndi kusanza
- thukuta limachuluka, makamaka usiku,
- pamakhala kuwonda kwambiri kapena kunenepa kwambiri.
Zizindikiro
Pozindikira matenda a glucosuria, kuyezetsa mayina amkodzo kumachitika. Kuyesedwa kwamatenda ambiri mkodzo ndi tsiku ndi tsiku kumakhazikitsidwa. Pazachipatala chokwanira, ndikokwanira kusonkha gawo la mkodzo, ndikuyeretsa ziwalozo musanatenge zinthuzo. Mtsuko wa mkodzo uyenera kutsekedwa ndi chivindikiro kuti tiletse mabakiteriya ndi zosayenera kuti zisalowe muzinthuzo.
Asanapereke kusanthula, ndikofunikira kusunga malamulo angapo kuti musatenge zolakwika mu zotsatira ndikupeza chidziwitso chodalirika:
- Madzulo a chopereka cha zinthu kupatula kudya mankhwala
- Chotsani mavuto komanso nkhawa,
- lekani kudya maswiti, zipatso za malalanje, tomato ndi beets, mowa ndi koloko patsiku,
- gonani bwino
- kuchepetsa kudya kwamadzimadzi
- Pewani kuchita masewera olimbitsa thupi
- patsiku la phunzirolo, muzitsuka maliseche pogwiritsa ntchito sopo wosalowerera,
- bweretsani chidebecho ndi zinthuzo ku labotale pasanathe maola 6 kuchokera nthawi yopereka,
- Ngati mkodzo wa tsiku ndi tsiku wasonkhanitsidwa, mtsuko wa mkodzo uyenera kusungidwa pansi pa chivindikiro m'malo abwino.
Kukonzekera kuwunikira sikubweretsa zovuta ndipo sikutanthauza nthawi yayitali, koma kumathandizira kupeza deta yodalirika ndikuzindikira matenda a matenda.
Momwe mungatolere mkodzo patsiku?
Musanagwiritse ntchito urinalysis, muyenera kusiya zakudya zamafuta ndi zotsekemera, kupatula kumwa mowa ndi madzi ambiri. Muyeneranso kusiya kumwa mankhwala aliwonse komanso ma diuretics pasadakhale.
Mutha kusonkhanitsa mkodzo tsiku lililonse motere:
- gawo loyambirira limatsanulidwa - siloyenera kuunikiridwa,
- ndiye masana mkodzo wonse umasonkhanitsidwa ndikuthira m'chidebe chimodzi chachikulu, choyeza muyeso.
- sakanizani chilichonse ndikugonjera kuti mumupimire pafupi ndi kapu ya mkodzo, yoyambira kuchuluka kwathunthu.
Ngati zotsatirapo zake ndi zabwino, ndiye kuti kuwunikirako kubwerezedwanso, mosamala malamulo okonzekera. Ndi chizindikiritso cha glucosuria mobwerezabwereza, maphunziro owonjezereka amachitika kuti adziwe chomwe chimayambitsa matenda ndipo funso lodziwika ngati chithandizo chamankhwala chitha bwino.
Chizindikiro Levelization
Zoyenera kuchita ngati glucosuria wapezeka ndikuchepetsa shuga mu mkodzo? Choyamba, ngati zamatsenga zimatsutsana ndi maziko a matendawa, ndiye chifukwa chake glucose omwe amawonekera mkodzo amayenera kuthetsedwa.
Ndikulimbikitsidwanso kubwereza zakudya zanu ndi moyo wanu:
- siyani chikumbumtima chamankhwala osokoneza bongo,
- kupatula zakudya zamzitini ndi zinthu zina zophatikiza ndi mankhwala,
- Pewani koloko, makeke, maswiti, ndi zakudya zamafuta ambiri othamanga.
- osasankha zotsekemera ndi mafuta,
- m'malo mwa shuga, sinthani zachilengedwe zotsekemera,
- onjezerani kuchuluka kwa chakudya mpaka kasanu patsiku ndikuchepetsa masheya,
- chepetsa mphamvu zolimbitsa thupi, kupewa kugwira ntchito mopitirira muyeso,
- Sinthani zochita za tsiku ndi tsiku, kuti mupeze nthawi yopuma,
- Pewani kupsinjika mtima.
Mutha kupempha thandizo ku mankhwala azikhalidwe:
- Wiritsani magalasi awiri amadzi ndi kutsanulira 100 ga oat mbewu. Mukatha kuwira, simmer kwa kotala la ola ndi ola kuti muteteze kutentha kochepa. Sefa ndi kumwa musanadye kadzutsa, nkhomaliro ndi chakudya chamadzulo, 250 ml iliyonse.
- Pogaya buckwheat kukhala ufa ndikuthira mu kapu kuti theka. Madzulo, phatikizani ndi kapu ya kefir kapena yogati ndikusiya mpaka m'mawa. Idyani m'mawa.
- Wiritsani lita imodzi yamadzi ndikutsanulira 2 tbsp. l masamba a mabulosi. Lolani kuziziritsa ndi kumwa m'malo mwa tiyi masana.
- Kuphika anyezi wotsekedwa ndikudya m'mawa pamimba yopanda kanthu.
- Wiritsani 4 makapu amadzi ndikuphatikiza ndi akanadulidwa aku Yerusalemu artichoke tubers.Tetezani ndi kusefa ola. Imwani m'malo mwa tiyi.
- Njira yothandiza ndi kuchotsera kwa mankhwala azitsamba. Sakanizani supuni ya dandelion muzu, mabulosi abulu ndi masamba a nettle. Wiritsani 250 ml ya madzi ndi kutsanulira 20 g a osakaniza. Kuzizira komanso kusefa. Kamodzi pa sabata, imwani kapu musanadye chakudya cham'mawa, nkhomaliro komanso chakudya chamadzulo.
- Cinnamon amathandiza kwambiri. Itha kusakanizidwa ndi kefir ndikumwa chakumwa chotere tsiku lililonse. Itha kugwiritsidwa ntchito pokonza mbale ndi zakumwa za 0,5 tsp. tsiku lililonse.
- Pangani chopereka cha supuni ya flaxseed, 2 tbsp. l oats udzu ndi 2 tbsp. l masamba a mabulosi. Pogaya ndikusakaniza zonse bwino. Onjezani 50 g masamba owuma nyemba. Wiritsani makapu anayi a madzi ndi kutsanulira 3 zikuni zazikulu za osakaniza. Pambuyo mphindi 20, simmer pa moto wochepa kapena mukusamba kwamadzi. Kuzizira komanso kusefa. Kuchuluka kwa msuzi kumagawika magawo awiri ndi chakumwa chilichonse masana.
- Masamba ang'ono ang'ono angagwiritsidwe ntchito. Wiritsani kapu yamadzi ndikuthira masamba osankhidwa, adzafunika kutsina kwakukulu. Siyani kuziziritsa ndi kusefa. Imwani maphwando angapo tsiku lonse.
Kugwiritsa ntchito mankhwala wowerengeka kungakuthandizeni kuchepetsa shuga wa mkodzo, koma kupewa kuti musabwerenso, muyenera kuganiziranso zomwe mumadya komanso moyo wanu. Zochita zolimbitsa thupi ziyenera kukhalapo tsiku ndi tsiku, koma kulimba kwamakalasi ndi ntchito yolimbitsa thupi kuyenera kuchepetsedwa.
Mowa ndi chikonga zimawonongera thanzi ndipo ndibwino kuzikana. Kuthana ndi kadyedwe kazakudya kumathandizira kuti magwiridwe antchito amkati onse amkati, athandize kukhalabe ndi shuga mu plasma ya magazi ndikutchingira kupezeka kwa glucosuria.
Kanema kochokera kwa Dr. Malysheva onena za zoyambitsa masinthidwe amkodzo:
Kumbukirani kuti kuwonekera kamodzi kwa shuga mkodzo sikumatsimikizira kukula kwa matendawa, koma kumafuna kubwereza phunzirolo.
Ngati kuwunika kachiwirinso kumakhala koyenera, ndiye kuti kuwunika kokwanira ndi chithandizo chachikulu chofunikira. Ndipokhapo pokhapokha ngati zingatheke kupewa kupewetsa zovuta kwambiri.